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Women’s bodies are constantly changing. Whether it is after a pregnancy or due to menopause, your body may no longer have the optimal tone, function or appearance you desire. When this occurs, ThermiVa can help restore your vaginal wellness.

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Reclaim Your Body, Your Way

Pregnancy, childbirth, and age-related hormonal changes can all impact your vaginal wellness. ThermiVa is a non-invasive, non-hormonal treatment that helps women deal with the host of issues that can emerge as a result, including urinary leakage, dryness, pain during intercourse and other intimate problems.

How Does Thermiva Work?

ThermiVa is designed to improve the form of your vaginal canal and labial tissue. The procedure works by using temperature controlled radiofrequency, which gently delivers thermal energy to the treatment area. This causes excess skin to shrink, vaginal muscles to tighten, and increased blood flow to nourish the skin.


  • Comfortable, 30-minute, in-office treatment experience
  • Non-surgical – no anesthesia, sedation or downtime
  • Effective on internal and external tissue
  • Increased intimacy with your partner
  • Improved sexual confidence
  • Long-lasting results

Ideal Candidate?

ThermiVa is safe for most women. The typical candidate has had children or is nearing menopause and wants to tighten lax vaginal tissues.

It is also ideal for women who are struggling with:

  • Vaginal discomfort
  • Decreased intimacy and confidence
  • Urinary stress incontinence
  • Excess vaginal skin
  • Chronic dryness

It’s important to note that ThermiVa is not intended for patients who are pregnant or have a current infection in the treatment area. You will need to have had a recent physical and/or pap smear before receiving the treatment.

During your initial consultation, we will review your medical history and help you determine if this procedure is in your best interest.


ThermiVa will begin with a private consultation with one of our plastic surgeons. During that appointment, we will collect detailed information about your medical history and symptoms to help you determine if the procedure is in your best interest.

If you decide to move forward, the ThermiVa procedure will take place in one of our private treatment rooms. To begin, we will apply an ultrasound gel to the vaginal tissues to ensure that the ThermiVa hand piece can move easily over the target area.

We will then place the specially-designed wand on the labia, vulva and vaginal tissues to deliver the radiofrequency energy. This entire process will take around 30 minutes.

The treatment is not painful and no anesthetic is necessary. In fact, most of our clients report that the treatment is quite relaxing. At the very most, you may feel a mild warming sensation. The overall experience is similar to that of a transvaginal ultrasound.

After Thermiva

ThermiVa is gentle and non-surgical. As such, there is no recovery period necessary and you will be free to return to work and your normal daily routine – including sexual intercourse – right away.

In addition, there are no side effects associated with the procedure. You will not experience any scarring and the surrounding tissue will remain unharmed. Most of our Coronado clients choose to schedule two or three additional sessions spaced one month apart for optimal tissue tightening.


You will notice an improvement in your intimate tone, appearance and function within a day or two. The results will continue to improve over the next several weeks as your body responds to the treatment by producing fresh collagen. In general, the benefits will last six months for external tissues and one year for internal tissues. At that point, a follow-up session will be necessary to maintain your results.

Is ThermiVa safe?

Yes, ThermiVa is extremely safe. However, to ensure an optimal experience, it is highly recommended that you have an experienced cosmetic and plastic surgeon perform your procedure. Our team is specially trained and dedicated to providing the best results to our patients.

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The office and procedure room were immaculate. Dr.Kouli and staff checked up on me often post.


I had an incredible experience at esthetica. Dr. Kouli is both personable and professional. Everyone in the office is friendly and aim to make you feel as comfortable as possible. I’d highly recommend their services.


I would recommend this office to anyone seeking a procedure. They answered any and all of my questions immediately. No matter how big or small.


Dr. Kouli is the best!, best surgeon, best bedside manner, best follow up… just the best


I can’t say enough about dr. Kouli. He looked a my problem which was pretty bad and immediately knew that he could fix it.